This position is located at the Lower Brule Service Unit in Lower Brule, SD within the Branch of Purchased and Referred Care (PRC). The purpose of this position is to provide support and technical assistance to specialists in the provision of Purchased/Referred Care to Native American beneficiaries, and manage a PRC delivery system. The incumbent reports to the supervisory health system specialist or designee.

Duties

Determine patient eligibility for alternate resources available under Purchased Referred Care for Medicare, Medicaid, private insurance, or other third parties. Assist with reporting and closing out of Catastrophic Health Emergency Fund (CHEF) cases. Post allotments and perform reconciliations. Perform clerical duties related to patient referrals, admissions and discharges. Maintain document control registers for funds allocated and prepare financial reports.

Requirements

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM QUALIFICATIONS GS-04: One (1) year of general experience or Two (2) years of education above high school GS-05: Four (4) years of education above high school or One (1) year of specialized experience equivalent to at least the GS-04 grade level GS-06: One (1) year of specialized experience equivalent to at least the next lower grade level NOTE: Equivalent combination of education and experience are qualifying for all grade levels and positions for which both education and experience are acceptable. General Experience Progressively responsible clerical, office, or other work that indicates ability to acquire the particular knowledge and skills needed to perform the duties of the position to be filled. Specialized Experience Experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform successfully the duties of the position, and that is typically in or related to the position to be filled. Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples of specialized experience at the GS-05 grade level Respond to inquiries and requests through telephone, correspondence and personal visits; Schedule appointments; Medical and financial data entry; Maintain document control registers for funds allocated; and prepare financial reports. Examples of specialized experience at the GS-06 grade level Conduct personal interviews to determine Purchased/Referred Care and/or Alternate Resources patient care eligibility; Review purchase orders for compliance; Maintain accurate accountability of funds and proper fiscal coding procedures; Post allotments and perform reconciliations. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

If you are using education to qualify for this position, you are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.

Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation.

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Lower Brule Service Unit PO Box 248 100 Gall St. Lower Brule, SD 57548 US
• Name: Joseph Dudley
• Phone: 605-226-7203
• Email: [email protected]